MEDICARE: DAN FROERER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	7548	AZ

General Provider Information

NPI Number	:	1447289947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAN FROERER DC

Provider Business Mailing Address
First Line	:	1919 E MCKELLIPS RD
Second Line	:	SUITE #106
City	:	MESA
State	:	AZ
Zip	:	85203-2844
Country	:	US
Telephone Number	:	480-833-0302
Fax Number	:	480-833-0904

Provider Business Practice Location Address
First Line	:	1919 E MCKELLIPS RD
Second Line	:	SUITE #106
City	:	MESA
State	:	AZ
Zip	:	85203-2844
Country	:	US
Telephone Number	:	480-833-0302
Fax Number	:	480-833-0904

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	02/05/2008

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Practice Location Address:

1919 E MCKELLIPS RD , STE 102
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1609040187 — JAMES L. ABBOTT, OD, PC
Practice Location Address:

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Directions to “ DAN FROERER DC” Practice Location

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